Old Age Psychiatry

Question 1

What is the ABCD of dementia?

Answer 1

Activities of Daily Living (ADLs)
Behavioural and Psychiatric Symptoms of Dementia
Cognitive Impairment
Decline

Question 2

What are the diagnostic requirements for dementia?

Answer 2

Memory dysfunction (dysmnesia)
Plus one or more of:
Dysphasia (communication)
Dyspraxia (poor motor skills)
Dysgnosia (failure to recognise objects)
Dysexecutive function

Question 3

List 5 psychiatric complications of dementia

Answer 3

Psychosis
Depression
Anxiety
Agitation
Altered circadian rhythms

Question 4

List 4 forms of dementia

Answer 4

Alzheimer’s Disease
Vascular Dementia
Lewy Body Dementia
Frontotemproal Dementia

Question 5

List 4 stages of the clinical assessment for dementia

Answer 5

Clinical and collateral history
Mental state examination
Physical and bloods
Cognitive Assessment

Question 6

What is dementia with lewy bodies?

Answer 6

A dementia with no amnesia but deficits of attention, frontal executive, visuospatial.
Possible symptoms (2 suggests probable diagnosis):
Fluctuation
Visual Hallucinations
Parkinsonism

Question 7

List 7 drug classes used in the treatment of dementia

Answer 7

Acetylcholinesterase Inhibitors
Memantine
Antipsychotics
Antidepressants
Anxiolytics
Hypnotics
Anticonvulsants

Question 8

What are the 5 (AMCUR) considerations to make when assessing capacity?

Answer 8

Act
Make
Communicate
Understand
Retain memory of